Heel protectors are excellent for preventing pressure on the heels.
Answer the following statement true (T) or false (F)
False
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The nurse evaluates nursing care of the client's ureterostomy. Which nursing intervention should the nurse eliminate or improve to prevent client complications?
1. Empty the pouch when it is at least half full. 2. Assess peristomal area for edema and pain. 3. Apply a skin barrier within -inch of stoma. 4. Place a gauze wick in stoma for pouch change.
The nurse is caring for a patient in the endoscopy area. The nurse observes the technician performing these tasks. Which observation will require the nurse to intervene?
a. Washing hands after removing gloves b. Disinfecting endoscopes in the workroom c. Removing gloves to transfer the endoscope d. Placing the endoscope in a container for transfer
The nurse hears in shift report that the patient had a transurethral needle ablation. Which question would the nurse ask the patient to determine if the procedure achieved the intended therapeutic goal?
A. Did the pain resolve completely after the procedure? B. Are you able to achieve and sustain an erection? C. Have your problems with urination been resolved? D. Have you had a PSA level to see if the cancer is in remission?
The nurse is teaching a patient with myasthenia gravis how to recognize a cholinergic crisis. What manifestations should the nurse include in this teaching? (Select all that apply.)
a. Diarrhea b. Salivation c. Vomiting d. Difficulty speaking e. Abdominal cramping f. Increased bronchial secretions